NPI age
9 years
Enumerated 2017-04-18
● Active
Type 1 · Individual
MRS. Stephanie E. Tyson, NP-C
Tyson is 1 of 7 nurse practitioner providers in Jasper and 1 of 3206 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3206 active nurse practitioner providers in Georgia.
NPI age
9 years
≈ at median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-04Enumerated in NPPES
2017
2026
Where they practice
Practice location
134 Mountainside Village Pkwy Ste 100
Jasper, GA 301438694
Mailing address
1835 Savoy Dr Ste 300
Atlanta, GA 303411071
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003203586A | |
| 01 (GA) | G04354A | MEDICARE PTAN |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Jasper in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.